Search › Illinois › 225C00000X
Kelly Willenborg, MA IN GERONTOLOGY
NPI 1467935775 · on the registry since 2018 · sole proprietor
Practice
- Address
- 300 Sur Woods Dr
Effingham, IL 62401 - Phone
- (217) 254-2149
Registry record
- Primary taxonomy
- 225C00000X
225C00000X
- Also registered as
- 174H00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois